Accepted Insurance
A
Advocate Physician Partners – BlueCare Direct HMO
Aetna – PPO, HMO, POS, EPO
Aetna Whole Health
Aetna Advantage/ Advantage Plus – PPO
Aetna Managed Choice Open Access – PPO
Aetna National Advantage Program (NAP) – PPO
Aetna Signature Authority (ASA or SRC) – PPO
AMITA Health BCBS sites 494, 495, 496, 497, 498, 499, 500
AMITA Health BCBS Medicare Advantage sites 760, 761, 762, 763, 764, 765
B
Beech street Inc. – PPO
Blue Advantage
Blue Choice
Blue Cross and Blue Shield – all PPO plans
Blue Cross – Classic Blue/Blue Perform,
Blue Cross Blue Shield AMITA Health sites sites 494, 495, 496, 497, 498, 499, 500
Blue Cross and Blue Shield HMO – Illinois Sites – 357, 600, 124, 479, 302, 464, 294, 331, 474, 266, 277, 353
Blue Cross and Blue Shield HMO – non-Illinois plans
Blue Cross Medicare PPO (Choice Plus, Choice Premier)
Blue Medicare Advantage (Basic, Basic Plus, Premier Plus) – HMO
Blue Precision
C
CIGNA/Great-West Healthcare – PPO, EPO, HMO, POS, Open
CIGNA One Health HMO
Cigna Open Access Plus/ Choice Fund OA Plus – POS
Cigna State of Illinois – POS
Cigna / C5 – POS
Cofinity – PPO only
Coventry – PPO, HMO, POS
F
First Health PPO
G
Golden Rule
Great-West Healthcare
H
Harken Health (United Healthcare) Choice Plus
Healthlink/Unicare PPO
HFN – PPO, EPO
HFN Platinum EPO
HFN Total Care – PPO
HST Care Connect EPO
Humana – PPO, POS, HMO, EPO
Humana Advocate Centered Plan – EPO, HMO
Humana Choice POS
Humana ChoiceCare/National PPO
Humana HMO Premier/Open Access
Humana HMO Select
Humana HMO Select/ Illinois Platinum HMO
Humana Illinois CCN HMO
Humana Medicare Advantage Plans – Gold Plus- HMO, HumanaChoice -PPO, Humana Gold Choice (PFFS)
Humana National EPO/HMO/POS-Open Access
Humana Platinum HMO
I
Imagine Health Smartcare
M
Medicare
Medicare Advantage BCBS sites 760, 761, 762, 763, 764, 765
MultiPlan – PPO
P
PHCS Healthcare Systems PPO
PHCS Savility – PPO
S
SEIU – Local 4 HMO and PPO
T
Texas True Choice
Tricare (thank you for serving)
U
UMR
Unicare
Union Medical (Local 1546) HMO
United Healthcare AARP Medicare
Complete (HMO, Access HMO, Plan 1 and Plan 2 HMO)
United HealthCare All Savers
United HealthCare Charter HMO
United HealthCare – PPO, POS, HMO
United HealthCare/Choice Plus/ Select POS
United HealthCare Choice Select HMO
United HealthCare Core PPO
United HealthCare Options PPO
United HealthCare Harken Health ChoicePlus
United HealthCare Navigate HMO & POS
United HealthCare HDHP Definity Basics PPO
United Healthcare Medicare Advantage Medicare Solutions PPO/Group Retirees
United Healthcare Medicare – HMO, PPO
United Healthcare NexusACO R and Nexus ACO OA
United Healthcare Railroad Employees National Health & Welfare Plan(Group 023000)
United Healthcare Railroad Employees The National Railway Carriers & United Transportation Union Health and Welfare Plan (Group 690100)
Insurance Plans Not Accepted
We are not in network with the following plans:
Advocate Meridian Health Plan of Illinois Medicaid HMO
Aetna – EPO (you should call)
Aetna and ask if they will allow an urgent care visit if authorized by your PCP)
Blue Cross Blue Shield BCBS Community
Blue Cross Blue Shield BCBS Community MMAI
Blue Cross Blue Shield BCBS Community MMAI HMO
Cigna Local Plus Connect County Care
Harmony Health Plan
FHN Blue Cross Blue Shield
Humana Gold Plus Integrated
Illinois ACA Adults
Illinois FamilyCare / All Kids Assist
Illinois All Kids Share ICP
Meridian Family Health Plan; ICP
Meridian Complete MMAI
FAQ
Your co-pay is the cost that patient is required to pay at the time of the visit. This is paid for routine services to which your deductible does not apply. Your co-pay is typically found on the front side of your insurance card. The co-pay is not the only payment that is expected, you will receive a bill from the clinic some time after your visit.
The deductible is the amount that you need to pay before the insurance will cover any of your doctor’s visits. This amount varies for all insurance plans and should be met within the calendar year before your policy will begin to pay for any of your health care costs. Not meeting your deductible is one of the reasons that patients can end up with large bills since the costs of the visit is being applies toward the deductible.
If you have a deductible plan – We require payment of up to $150 at time of service. This payment is calculated from patient plan deductible and will accommodate patient balance.
We feel our future is tied with providing high quality, cost-effective care. There is tremendous wastage in the U.S. healthcare system. Most other nations have a fee-for-service model where you as the consumer have complete control of the costs.
We offer high-quality very efficient care and will inform you of the costs of care and you have full control. You are our valued patient and we look forward to serving your needs. We will tell you about the cost of every test and its importance before we order them.
We have highly subsidized on-site labs and x-rays are at an extra charge and will inform you of all charges before obtaining them, while you are in the clinic.
For our patients who pay at the time of service, the consultation (visit) charges are: New Patient//$150 & Returning Patient//$125.